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· DOS Abstracts
Good mid-term outcome and few complications after
elbow hemiarthroplasty for acute distal humeral frac-
tures in adults
Ali K. K. Al-Hamdani, Jeppe Rasmussen, Anne Kathrine Belling Sørensen, Janne
Ovesen, Stig Brorson, Bo Olsen
Orthopaedics / Shoulder elbow section, Herlev Gentofte Hospital; Orthopaedics
Background:
Distal intraarticular and multifragmantary humeral fractures pose
a surgical challenge.Total elbow arthroplasty (TEA) is known method for treat-
ment of distal humeral fractures, but the outcome of elbow hemiarthroplasty
(EHA) is still limited.
Purpose / Aim of Study:
The aim of this study was to report the functional
and radiographic outcomes, in a consecutive series of Elbow hemiarthroplasty
(EHA) in patients with acute distal humeral fractures.
Materials and Methods:
From January 2011 to January 2016 thirty-one
patients were treated with EHA for an acute distal humeral fracture. Four pa-
tients died before follow-up and 3 patients were unable to participate. Thus,
twenty-four patients were included. Mayo Elbow Performance Score MEPS,
Oxford Elbow Score OES, pain severity, and range of motion are used to evalu-
ate the clinical outcome. Radiographic outcomes were assessed. The length of
sick-leave was recorded.
Findings / Results:
Two EHA were revised to a TEA. The remaining 22 patients
had a complete follow-up. The mean age was 64 years and 12 patients were
under the age of 65 years. The mean follow-up time was 30 months. The me-
dian MEPS was 85 and the median OES was 40. The median pain severity score
was 2 (range 0-8) on a scale from 0-10. The median flexion/extension and su-
pination/pronation arcs were 112.5 degree and 160 degree respectively. Two
patients were re-operated, one because of stiffness and one because of infec-
tion (soft-tissue revision). Seven patient were occupationally- active, and six
of them returned to the same occupation. The mean sick-leave was 3 months.
Conclusions:
The outcome of EHA for the treatment of ureconstructable acute
multifragmentary intraarticular distal humeral fractures seems promising in ac-
tive patients. However ulnar and radia wear and component loosening may lead
to a less promising outcome in the long term.
No conflicts of interest reported
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